Individual
KIMBERLY SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
32 BOWER ST, BANGOR, ME 04401-4722
(207) 577-1863
Mailing address
32 BOWER ST, BANGOR, ME 04401-4722
(207) 577-1863
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT3683
ME
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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